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Yin XieYu, real heat for hyperthyroidism

2012年12月05日

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Yin XieYu, real heat for hyperthyroidism

 

 

ZhangMeiYing ChenBaoGui doctor of Chinese medicine studio

Tianjin university of Chinese medicine qing affiliated hospital of traditional Chinese medicine

 

 

China's traditional Chinese medicine to

 

 

 

        Thyroid function mainly hyperthyroidism and disease characteristics, attributable to traditional Chinese medicine "gall disease", "palpitation" category. ChenBaoGui professors think characteristic internal injury is the internal condition happened. The economic life party · gall tumor treatment "yue:" husband gall tumor person, and not by the day, sorrow is hushed into a excessive,, how the disease. Generally speaking, a qi and blood circulation, often for no detention with below, inappropriate, gas clotting hysteresis for gall for tumor. The theory of the pathogenic wait · gall syndrome "yue:" the gall, the suffering gas "born." Characteristic internal injury, and closely related to the liver, liver for just dirty, sexual xi article kuo to evil and depression, body Yin and Yang, hidden drainage and the nature of right and wrong, with firm soft. Liver advocate drain, can adjustable chang calm temperament. Characteristic is disorder, the loss of the liver stagnation, etc., the stomach is most likely to change the fire, the fire refining tianjin into phlegm, block context into phlegm and blood stasis fire resistance threads of gall is swollen.

 

        ChenBaoGui professor considered hyperthyroidism for congenital kidney Yin deficiency, the day after tomorrow is stimulated and characteristic pathogenesis, main performance for thyroid enlargement, fatigue, afraid of hot, sweat, palpitation, irritability, eating, angular, hand tremor, insomnia, viscera disease mainly related to liver, kidney, heart, spleen. Hyperthyroidism pathogenesis, nothing more than the empty mark, the virtual reality to kidney Yin deficiency is given priority to, standard real mainly for diarrhea stasis, depression and turn heat or Yin deficiency, hand hand turn fire, and then lead to internal organs function disorder, variable green blood stasis and phlegm turbidity and pathological product. With the development of patient's condition, if YuHuoKang fill, air injury Yin, also can appear fatigue, shortness of breath, nano stay and the deficiency of qi and Yin or double deficit performance. Treatment to XieYu Yin, lowering is real.

 

        Typical cases

 

        HanMou, female, 59 years old. Chief complaint: flustered, sweat out 3 ~ 4 years. History of present illness: I have dismayed, sweating, fidgety irritable, the mood is not stable, throat caking enlargement, the good food easy hunger, fatigue, dizziness, brain singing, eyes micro process with dry, ErBian sleep fair. Tongue dark moss light yellow greasy, pulse slide. In a hospital diagnosis of hyperthyroidism. Auxiliary check: thyroid colour to exceed shows: thyroid right leaf essence in low echo real sex group fast, double side within thyroid nodules multiple small low echo. We all items shown: thyroid hormone 14.7 microgram per deciliter, slightly on the high side, more than normal. Differentiation of symptoms and signs: Yin deficiency of liver prosperous, stasis hot mutual junction. Treatment: heat, nourishing the real XieYu. Prescription: 15 grams of glossy privet, eclipta alba 15 grams, selfheal 10 grams, rhizoma smilacis glabrae 15 grams, aloes 10 grams, turmeric 10 grams, radix puerariae and grams, turtle shell 30 grams (first Fried), effects of 10 grams, raw oysters 30 grams, airpotato yam 15 grams, forsythia 15 grams, peach kernel 10 grams, liquorice 10 grams. 14 agent, water frying suit.

 

        Two diagnosis: patients after taking the lawsuit flustered, sweat out before symptoms is better, dry eye significantly reduce, dizziness, brain singing symptoms recovered, the tongue dark moss light yellow, pulse string. No more party effect, the original FangJiFu 14 agent.

 

        Three diagnosis: patients resort to disease are improved, emotional stability, the mood is much improved, we review the normal. Move bowels dry, increase yellow 10 grams (later), turtle shell to 15 g. The suit in January, illness basic recovery, told the adjustable characteristic, light diet.

 

        According to: according to the patients with changes and dismayed sweat out, eyeball outstanding and patient physique, differentiation of symptoms and signs of Yin deficiency and blood stasis, liver popular hot mutual knot, liver treatment to XieYu, heat of the real product is given priority to. The party of glossy privet, eclipta alba compatibility of nourishing the kidney gathered liver, selfheal, forsythia, born dragon negundo to real clearing heat and transforming phlegm is given priority to, rhizoma smilacis glabrae, airpotato yam clearing away heat and toxic material, aloes, turmeric XieYu qi, turtle shell, Yin shows real soft firm, peach kernel invigorate the circulation of blood, liquorice harmonic. The drug compatibility, a total of Yin heat play, XieYu real effect. Differentiation of symptoms and signs accurate, so when two clinical symptoms improved, the clothing and agent. Three diagnosis in patients with dry stool, so more yellow, curative effect is better, so reduce turtle shell dosage.

 

        ChenBaoGui stressed that hyperthyroidism is prevalent in patients with mood disorders, which not only reduce the patient's quality of life, and somatic symptoms interaction, which influence the therapeutic efficacy of drugs. So for patients health education and psychological counseling, and encourage patients to relax spirit, improve the state of mind, is also an important link.